| NPI | 1134855976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANELYS MOURELLES CABRERA President 786-300-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2024-03-01 |